| NPI | 1306478375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY SHEN DESHETLER Licensed Psychologist 714-462-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-06-03 |