| NPI | 1003758533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C. OH CEO 949-551-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2026-04-06 |
| Last Update Date | 2026-07-22 |