| NPI | 1548764202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CHEATUM Licensed Psychologist 714-865-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA psy22328) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |