| NPI | 1629731047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY WHITMORE CEO 909-576-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-11-29 |