| NPI | 1407264427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G YOUNG Clinical Director 951-369-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |