| NPI | 1720616600 |
|---|---|
| Doing Business As | CENTER FOR THOUGHTFUL LASTING CHANGE |
| Entity Type | Organization |
| Authorized Contact | SHERRY CASPER Owner 619-369-5050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |