| NPI | 1578397352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AXEL VALLE ALERHAND Director 628-400-7434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |