Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Professional |
101YP2500X |
| NPI # | 1982936803 |
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| LBN Legal business name | CENTER FOR CHILD AND FAMILY COUNSELING,LLC | ||||||||||||
| Authorized official | STELLA VERNA ROSS - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 02/02/2010 | ||||||||||||
| Last updated | 05/12/2014 - About 12 years ago | ||||||||||||
| Identifiers |
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