| NPI | 1497454144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA INIGUEZ President 657-999-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |