| NPI | 1679178891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A PROCOPIO CEO 949-432-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2023-08-23 |