NPI | 1881079069 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL JOSEPH PETERSON CEO/Director 385-333-6555 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: UT 5388245-3501) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
251S00000X | |
Enumeration Date | 2015-07-29 |
Last Update Date | 2024-09-23 |