| NPI | 1467971499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J MCPHETERS President 858-345-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91733) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2018-07-26 |