| NPI | 1497316202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAN L SMART Owner 951-290-8225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |