| NPI | 1710840996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MCKEON CEO 661-510-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2025-12-04 |