NPI | 1962104281 |
---|---|
Doing Business As | THERAPEVO & KATAVALLO INC. |
Entity Type | Organization |
Authorized Contact | STEVEN BRODIE Owner 254-290-4223 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2023-03-20 |
Last Update Date | 2023-03-20 |