| NPI | 1033590989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA AYALA-GUZMAN Unlicensed Mental Health Trainee 714-356-6528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-08-28 |