NPI | 1609166099 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY VILORIA CEO 949-499-2265 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A81916) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT40203) |
1041C0700X Social Worker, Clinical (Licence: LCS27426) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP14715) | |
1041C0700X Social Worker, Clinical (Licence: LCS27177) | |
Enumeration Date | 2011-04-19 |
Last Update Date | 2017-01-20 |