| NPI | 1356230080 |
|---|---|
| Doing Business As | EARTHBODY PSYCHOTHERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | KRIS COFFMAN CEO 707-440-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |