| NPI | 1376386888 |
|---|---|
| Former Legal Business Name | TRIAD OF PEACE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HAYNES CEO 424-224-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |