| NPI | 1548832769 |
|---|---|
| Former Legal Business Name | MANA CHRISTIAN FAMILY THERAPY INC. |
| Entity Type | Organization |
| Authorized Contact | ALEXSANDRIA LOSE President 916-720-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |