| NPI | 1194872382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH RHEA Owner 714-899-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC14233) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC12680) |
| 101YM0800X Counselor, Mental Health (Licence: CA PSY12485) | |
| 101YM0800X Counselor, Mental Health (Licence: CA PSY9811) | |
| 101YM0800X Counselor, Mental Health (Licence: CA A63583) | |
| 101YM0800X Counselor, Mental Health (Licence: CA G47617) | |
| 101YM0800X Counselor, Mental Health (Licence: CA MFC39025) | |
| 101YM0800X Counselor, Mental Health (Licence: CA G28225) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |