NPI | 1639395858 |
---|---|
Entity Type | Organization |
Authorized Contact | VERA STAMENKOVIC Mfcc 951-683-6322 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc25858) |
Additional Taxonomies | 251S00000X (Licence: CA mfc25858) |
305R00000X Preferred Provider Organization (Licence: CA mfc25858) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2014-08-26 |