| NPI | 1659555902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY MEINTS Director 760-773-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT14133) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |