NPI | 1750934071 |
---|---|
Former Legal Business Name | RALPH A FRAGALE, MA, LMHC |
Entity Type | Organization |
Authorized Contact | AMANDA SUE MOENING People Ops And Data Manager 567-356-1646 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-07-17 |
Last Update Date | 2024-10-09 |