| NPI | 1134510159 |
|---|---|
| Other Name | EOIC VICTORY |
| Entity Type | Organization |
| Authorized Contact | CHRISTIANE FORRESTER CEO 949-415-9217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 42751) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |