| NPI | 1194263103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONGIT FARRELL CEO / Lead Clinician 800-967-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97773) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |