| NPI | 1275131401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LISSETTE MOLANO CEO 949-439-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |