| 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 |