| NPI | 1437822301 |
|---|---|
| Doing Business As | KENNETH GRAVES JR LICENSE MARRIAGE AND FAMILY THER |
| Entity Type | Organization |
| Authorized Contact | KENNETH E GRAVES Owner/CFO 714-397-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |