| NPI | 1720622004 |
|---|---|
| Doing Business As | C&C THERAPY |
| Entity Type | Organization |
| Authorized Contact | CORRIN PETERSEN Group Practice Owner 913-213-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |