| NPI | 1427130491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIOMARA ALICIA DELGADO Licensed Clinical Social Worker 714-850-8408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA LCS15100) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |