NPI | 1972864320 |
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Doing Business As | CYPRESS HOLISTIC CENTER |
Entity Type | Organization |
Authorized Contact | JEFFERY DOUGLAS WILFONG President 888-511-4269 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFCC 46654) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2012-06-01 |