| NPI | 1114373123 |
|---|---|
| Doing Business As | COASTAL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A CANCLINI President 805-598-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53907) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |