| NPI | 1568899417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG HOMME Office Manager 760-563-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 37832) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2024-09-04 |