| NPI | 1376315986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA L EALBA Group Owner 626-991-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |