| NPI | 1720463037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN NOVELL Administrator/Owner 951-694-0695 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |