| NPI | 1649516220 |
|---|---|
| Doing Business As | TEENS ADVOCATING A GLOBAL VISION |
| Entity Type | Organization |
| Authorized Contact | ULRIC R JOHNSON Owner 6173-365-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 40) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 265) |
| 106H00000X Marriage & Family Therapist (Licence: MA 149) | |
| Enumeration Date | 2012-12-30 |
| Last Update Date | 2015-02-16 |