| NPI | 1710270087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI GUZMAN Co Owner 712-352-0917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001148) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2019-08-07 |