| NPI | 1104463371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BAHRA Owner 714-290-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-10-27 |