| NPI | 1891538161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB ANTHONY ESCOBEDO Chief Executive Officer 951-602-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |