| NPI | 1457651184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD M. RICH Owner 9856-262-7499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2971) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist (Licence: LA 211) | |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |