NPI | 1366218919 |
---|---|
Entity Type | Organization |
Authorized Contact | TEDDIE JACKSON Owner 858-867-9474 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2023-11-27 |
Last Update Date | 2023-11-27 |