NPI | 1265711642 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD FORT President 909-982-8687 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MF013902) |
Enumeration Date | 2011-08-16 |
Last Update Date | 2011-08-16 |