| NPI | 1801233432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF CARLSON Branch Director 714-994-0500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC38441) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |