| NPI | 1265062020 |
|---|---|
| Other Name | CHRISTIAN GARTH BOGH |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN GARTH BOGH Owner 909-709-2071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |