| NPI | 1871192401 |
|---|---|
| Other Name | LIFE CHANGE THERAPY |
| Entity Type | Organization |
| Authorized Contact | DAVID ROGERS Clinical Director Practitioner 725-244-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2024-08-08 |