| NPI | 1841711033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA COMBS Medical Biller 909-989-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |