| NPI | 1255981544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PLANTE CEO 714-403-6421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |