Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI Number | 1356883045 |
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| LBN Legal business name | CENTREPOINTE COUNSELING, INC. | ||||
| Authorized official | MATTHEW RAEDER - (CLINICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/10/2016 | ||||
| Last updated | 02/23/2022 - About 4 years ago | ||||
| Identifiers |
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