| NPI | 1417424698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CASEY Owner 951-447-5460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106S00000X Behavior Technician | |
| 175T00000X Peer Specialist | |
| 221700000X Art Therapist | |
| 225700000X Massage Therapist | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2019-10-12 |