| NPI | 1194049643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA-JOYCE G. MARKERT-GREEN President/CEO/Founder/Director 909-503-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48104) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 48104) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 48104) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 48104) | |
| 101YP1600X Counselor, Pastoral (Licence: CA 48104) | |
| 101YP2500X Counselor, Professional (Licence: CA 48104) | |
| 103G00000X Clinical Neuropsychologist (Licence: CA 48104) | |
| 103K00000X Behavior Analyst (Licence: CA 48104) | |
| 104100000X Social Worker (Licence: CA 25894) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 25894) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2015-08-07 |