NPI | 1730767542 |
---|---|
Doing Business As | EIGHT DOMAINS THERAPY, LLC |
Entity Type | Organization |
Authorized Contact | AMBER LIPONOGA Owner 573-212-4456 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-04-01 |
Last Update Date | 2025-03-31 |