| NPI | 1346627338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BREWER Owner 760-500-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 27991) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-06-03 |