| NPI | 1962908475 |
|---|---|
| Former Legal Business Name | CANYON ROAD ART THERAPY |
| Entity Type | Organization |
| Authorized Contact | DEBORAH KATHERINE HALL Art Therapist And Counselor 270-300-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-06-16 |