| NPI | 1770990624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORDELL LEE BALL Present And Lmft 949-887-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45955) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |