| NPI | 1831494350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS FITTANTE Owner 909-983-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2019-09-13 |