| NPI | 1639553944 |
|---|---|
| Doing Business As | SHINE INTEGRATED THERAPY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CLARK Owner 3034-552-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 992361) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2016-03-07 |