| 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 | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |