NPI | 1750584306 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN LUCAS Therapist 951-296-0662 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT36679) |
Enumeration Date | 2007-06-08 |
Last Update Date | 2008-06-19 |