| NPI | 1942819958 |
|---|---|
| Doing Business As | COLLAGE THERAPY COLLECTIVE |
| Entity Type | Organization |
| Authorized Contact | SHAY SELDEN Founder & Director 267-209-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2024-09-12 |