NPI | 1982361671 |
---|---|
Doing Business As | THE REFUGE |
Entity Type | Organization |
Authorized Contact | DEANNA VITALE Authorized Official, Sole Owner 479-353-0016 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-11-17 |
Last Update Date | 2022-01-29 |