| NPI | 1801478664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY ASTORGA Member/Manager 385-236-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-04-09 |