| NPI | 1891466520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT MICHAEL RUHLAND Co Owner 909-830-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-23 |