| NPI | 1730752452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA PHAM CEO 949-237-0893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-27 |