NPI | 1477214625 |
---|---|
Former Legal Business Name | TIMELESS GUIDANCE FAMILY THERAPY, LLC |
Entity Type | Organization |
Authorized Contact | ALEXANDRA ISAAC MARTINEZ CEO 203-206-5837 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2022-01-09 |
Last Update Date | 2022-01-09 |