| NPI | 1871031997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE WILLIAMSON Owner, Licensed Counselor 760-641-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH8077) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |