| NPI | 1467763466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE KELL Owner 714-402-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC39965) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |