| NPI | 1669086013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDON DERRICK HALLBROOKS Chief Executive Officer 951-850-1574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2022-05-18 |