| NPI | 1376005595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY JEREMY President 949-945-4364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2025-02-11 |