NPI | 1588873616 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY EDWARD POWELL Clinical Director 714-957-1973 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT 27433) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |