| NPI | 1700268232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARVIS WILLIAM JOHNSON Marriage Family Therapist 951-704-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2015-07-29 |