| NPI | 1548077761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FLORES Director Of Operations 951-692-9794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |