| NPI | 1881923589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER H COSTER Director 5106-548-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 24853) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |