| 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 |