| NPI | 1023342540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAL B TANAGHO Psychiatrist 714-916-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC42837) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA C51476) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2023-03-07 |