NPI | 1356779482 |
---|---|
Doing Business As | PERSONAL EVOLUTION PSYCHOTHERAPY |
Entity Type | Organization |
Authorized Contact | M. SUE BOYD Clinical Director/Founder 619-787-6676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2013-10-29 |
Last Update Date | 2019-06-11 |