| NPI | 1194523035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PETRY CEO 951-344-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |