| NPI | 1902647670 |
|---|---|
| Former Legal Business Name | SIERRA AGAPE THERAPEUTIC SERVICES, PC |
| Entity Type | Organization |
| Authorized Contact | KIMBALL CONVERSE PIER Director 530-536-8695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |