| NPI | 1801156831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY WHITE Executive Program Director 949-498-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YS0200X Counselor, School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |