| NPI | 1588447833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENIA SMITH-KORSAH CEO 951-847-8316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |