| NPI | 1235593757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARILDA G SURRIDGE Owner 619-997-3260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84629) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-12-22 |