| NPI | 1174386437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLES CHILDS CEO 858-224-2658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-05-21 |