| NPI | 1033248828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A THRASH Executive Director 714-547-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |