NPI | 1760056477 |
---|---|
Entity Type | Organization |
Authorized Contact | ARMANDO AMEZCUA President/CEO 714-473-4409 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2021-05-17 |
Last Update Date | 2021-05-17 |