| NPI | 1710719794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIHENG SONG Director 949-207-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2024-08-17 |
| Last Update Date | 2024-08-19 |