| NPI | 1528404316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT MOLTER Executive Vice President 949-742-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA MFC46701) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFC46277) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |