| NPI | 1528818143 |
|---|---|
| Former Legal Business Name | SYSTEMIC SUPERVISION TRAINING CENTER, PLLC |
| Entity Type | Organization |
| Authorized Contact | TIA CROOMS CEO 919-201-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |