| NPI | 1528220704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARK GUDEMAN Owner 805-582-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA G69799) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |