| NPI | 1982333126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIA MULLENIX Chief Clinical Officer 475-259-4789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2022-08-28 |