| NPI | 1184727364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARRON D RILEY Directior/Clinical Therapist 760-403-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 23466) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |