| NPI | 1780118646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN NETHERLAIN Lmft 949-478-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 92637) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |