| NPI | 1477388262 |
|---|---|
| Other Name | CLARVIDA |
| Entity Type | Organization |
| Authorized Contact | BRANDI LYNNE MARIE ANDREOLA Pre Licensed Therapist 760-896-5713 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-23 |