Restoration Therapy Center of Sd, a Mft Corp
NPI #1013362615 in Carlsbad, California
Provider Information
- NPI Number
- 1013362615
- Entity Type
- Organization
- Organization Name
- Restoration Therapy Center of Sd, a Mft Corp
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- May 2, 2016
- Last Updated
- May 2, 2016
Practice Location
- Address
- 5650 EL CAMINO REAL
- Address 2
- STE 130
- City
- Carlsbad
- State
- California
- ZIP Code
- 92008-7124
- Phone
- (714) 222-0331
Authorized Official
- Name
- MR. ELVIN LANCE AHL, M.S., M.DIV.
- Title
- PRESIDENT
- Phone
- (714) 222-0331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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