| NPI | 1811334014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANAEL ALAN FOWLER CEO 951-209-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC46994) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |