| NPI | 1124236906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DAVID BAGLEY President 800-449-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC22733) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-04-20 |