| NPI | 1689331027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN REISIN Marriage & Family Therapist 760-960-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-01-30 |