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 |