NPI | 1659724391 |
---|---|
Doing Business As | COFFEE HOUSE COUNSELING |
Entity Type | Organization |
Authorized Contact | KAREN G BLACK President/CEO 951-445-2105 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90128) |
Enumeration Date | 2016-07-18 |
Last Update Date | 2019-08-16 |