| NPI | 1174614135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON CASTLE Mental Health Specialist 714-834-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PT 30996) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-03-21 |