| NPI | 1578348983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BENJAMIN PEUGH Vice President/Co Owner 559-760-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |