| NPI | 1093558439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS MARTINEZ Clinician/Administrator 951-990-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |