| NPI | 1770310864 |
|---|---|
| Doing Business As | INTROSPECTIVE COLLECTIVE |
| Entity Type | Organization |
| Authorized Contact | JUSTINE ELSTAD Owner 817-312-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |