| NPI | 1851942072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND HERNANDEZ Owner/CEO 951-591-1384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2024-02-17 |