| NPI | 1023290178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE COLLEEN DAVIS Marriage & Family Therapist 951-235-2241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: CA MFC45046) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-12-03 |