| NPI | 1538531900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA BROSIUS-RODRIGUEZ CEO 714-812-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY20067) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2024-04-14 |