| NPI | 1184320095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYOLA MIRANDA Licensed Clinical Social Worker/CEO 760-509-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-06-29 |