| NPI | 1285456905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MOORE Officer Of The Board Of Directors 714-922-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |