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 |