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 |
Enumeration Date | 2020-03-18 |
Last Update Date | 2020-03-18 |