| NPI | 1932415213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH DEVENISH Psychotherapist 800-661-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 661) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |