| NPI | 1093856684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MARK PEVAR Mft 661-322-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC16538) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2013-12-02 |