NPI | 1962006486 |
---|---|
Doing Business As | MOXIE FAMILY THERAPY, PC |
Entity Type | Organization |
Authorized Contact | MELISSA ANN MELLON Founder And Director 714-388-6119 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2020-11-24 |
Last Update Date | 2022-08-17 |