| NPI | 1609623578 |
|---|---|
| Doing Business As | HEART WIDE OPEN WELLNESS |
| Entity Type | Organization |
| Authorized Contact | HANNAH ZACKNEY CEO 916-932-6929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |