NPI | 1538624879 |
---|---|
Doing Business As | BLENDED SPIRITS RANCH EQUINE ASSISTED THERAPY CENTER |
Entity Type | Organization |
Authorized Contact | SANDRA LONG Executive Director 814-449-5657 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-01-31 |
Last Update Date | 2019-01-31 |