| NPI | 1710213467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GREEN CEO 760-887-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 251B00000X Case Management | |
| 106H00000X Marriage & Family Therapist | |
| 101Y00000X Counselor | |
| 251V00000X Voluntary or Charitable | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2016-03-14 |