| NPI | 1811770332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD MCGINNIS Owner 559-908-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |