| NPI | 1447857040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY COX Lmft 951-472-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2021-02-02 |