| NPI | 1831962521 |
|---|---|
| Former Legal Business Name | COLETTE POTTS, LLC |
| Entity Type | Organization |
| Authorized Contact | COLETTE POTTS Owner 857-763-2865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |