| NPI | 1699301978 |
|---|---|
| Former Legal Business Name | HEALING LOGOS CHRISTIAN COUNSELING |
| Entity Type | Organization |
| Authorized Contact | GLORIA D HAYWOOD Lmft 909-726-5042 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |