| NPI | 1275294845 |
|---|---|
| Doing Business As | ALIVE THERAPY SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | EUGENE L. VANBURCH Therapist/Administrator 301-851-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |