| NPI | 1568911964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS A MOORE Director 707-772-5085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 50183) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |