NPI | 1588379044 |
---|---|
Doing Business As | SAFE SPACE THERAPY LLC |
Entity Type | Organization |
Authorized Contact | AMBROSIA ISELY Director 406-209-8279 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2023-01-19 |
Last Update Date | 2023-01-19 |