| NPI | 1346838422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GASPAR President 424-218-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2022-09-15 |