| NPI | 1770288383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE WADE Lpc, Art Therapist 559-908-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 221700000X Art Therapist | |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |