| NPI | 1649481862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COOK JOSEPHSON President 714-529-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY6970) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2014-07-28 |