| NPI | 1902453921 |
|---|---|
| Doing Business As | PHILIP BESTROM |
| Entity Type | Organization |
| Authorized Contact | PHILIP BESTROM Owner 872-333-9803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |