NPI | 1477388262 |
---|---|
Other Name | CLARVIDA |
Former Legal Business Name | PATHWAYS |
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 |