| NPI | 1316514821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER MARIE CARRA Chief Clinical Director 661-434-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |