NPI | 1811600190 |
---|---|
Doing Business As | THRIVE COASTAL THERAPY |
Entity Type | Organization |
Authorized Contact | AMANDA L PRESTAGE Owner 951-370-1532 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2023-01-02 |
Last Update Date | 2023-01-02 |