NPI | 1649004680 |
---|---|
Other Name | LAVENDER ARTS AND WELLNESS CONSULTATION |
Entity Type | Organization |
Authorized Contact | DETRECE LAVENDER Owner 240-565-0569 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-08-30 |
Last Update Date | 2024-08-30 |