| NPI | 1790162139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH KELLEY Marriage And Family Therapist 714-271-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LMFT83792) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |