| NPI | 1538832233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROUSE Owner 725-444-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |