| NPI | 1659895290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA PITTS Lmft 951-275-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |