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 |