| NPI | 1831707702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRANDON ZINKE CEO 909-969-4941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-09-11 |