NPI | 1356077754 |
---|---|
Entity Type | Organization |
Authorized Contact | VESAL VAKILI Owner 949-300-6608 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2022-07-27 |
Last Update Date | 2022-07-27 |