| NPI | 1396098620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M JACOBUS President 714-404-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME MF3924) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |