| NPI | 1154178127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CUNNINGHAM Owner 858-353-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |