| NPI | 1841011582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARVIANCE TOWE Owner 725-293-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |