| NPI | 1194115162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RUSHBROOK Clinical Director 760-365-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA PSY12146) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |