| NPI | 1477018992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY COULTAS Co Owner 805-798-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |