| NPI | 1629940523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LIN BOLET Executive Director 951-445-9382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |