| NPI | 1235983826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINE TIEN Mso CEO 760-889-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-07-31 |