NPI | 1477175701 |
---|---|
Former Legal Business Name | PRIMARY WITNESS |
Entity Type | Organization |
Authorized Contact | THIAGO LEAO Owner 303-875-0145 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-05-08 |
Last Update Date | 2020-05-08 |