| NPI | 1770160947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW DYRSSEN Owner 760-917-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |