| NPI | 1639856305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN ADAM VASQUEZ President 714-800-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |