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Organization
THE PUPPY WATER ENTERTAINMENT FOUNDATION
Active
Organization
THE PUPPY WATER ENTERTAINMENT FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCESS OKIEME LCSW (PRESIDENT)
(424) 279-3898
Entity
Organization
Contact information
Practice address
609 DEEP VALLEY DR # 200057, ROLLING HILLS ESTATES, CA 90274-3629
(424) 279-3898
(949) 695-3114
Mailing address
609 DEEP VALLEY DR STE 200-057, ROLLING HILLS ESTATES, CA 90274-3629
(424) 279-3898
(949) 695-3114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/22/2019
Last updated
05/04/2024
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