| NPI | 1548719545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE TICOULET CEO 833-256-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2020-03-31 |