NPI | 1427698521 |
---|---|
Doing Business As | TURNING TIDES PSYCHOLOGICAL SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | CAROLINE JOHANSON Owner/ Psychologist 570-209-9898 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2020-01-07 |
Last Update Date | 2020-01-07 |