| NPI | 1124493184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE HUGH HAUCK Licensed Marriage Family Therapist 619-309-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 54004) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |