| NPI | 1366282188 |
|---|---|
| Doing Business As | HEALED WOMEN HEAL |
| Entity Type | Organization |
| Authorized Contact | TRACY EVANSON Executive Director 909-815-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-30 |