| NPI | 1679916787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE ALLEN JENKINS Clinical Director 909-873-8363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC28241) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |