NPI | 1902635667 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRI A GUADAGNI Mbr 689-282-8312 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
133V00000X Dietitian, Registered | |
Enumeration Date | 2024-07-31 |
Last Update Date | 2024-07-31 |