| NPI | 1710695648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAHZAD Manager 949-696-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |