| NPI | 1568825107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHARVENA D MOSS Marriage And Family Therapist 951-500-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 91939) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |