NPI | 1699540054 |
---|---|
Doing Business As | OUTSIDE THE LINES THERAPY |
Entity Type | Organization |
Authorized Contact | RITA ULATE Owner 909-791-6615 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2023-11-16 |
Last Update Date | 2023-11-16 |