| NPI | 1265949564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYSHIA JOHNSON Owner, CEO 760-490-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP1600X Counselor, Pastoral | |
| 103TC0700X Psychologist, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |