| NPI | 1760932800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLYE LAUGHERY Owner 619-884-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49206) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA 49206) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |