| NPI | 1760087985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH THOMPSON Chief Legal And Development Officer 949-432-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2025-09-15 |