NPI | 1700288768 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK C BREWER Owner 760-500-3325 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC46057) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2017-10-12 |