| NPI | 1487313383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNA TAILLON CEO 714-510-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 102L00000X Psychoanalyst | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist Clinical | |
| 103TP0814X Psychologist Psychoanalysis | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |