NPI | 1902679822 |
---|---|
Former Legal Business Name | ZWAZO INTEGRATED THERAPY |
Entity Type | Organization |
Authorized Contact | MOLLIE INNOCENT-CUPID Owner 848-248-5223 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-11-02 |
Last Update Date | 2023-11-02 |