| NPI | 1326632951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAO CHIN KUO Director 949-229-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-06-07 |