| NPI | 1417134123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KNEPP LOGAN Satelite Director 760-375-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT24526) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |