| NPI | 1255449708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK LAWRENCE JOHNSON President 951-768-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC-24968) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-03-11 |