| NPI | 1801528773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL STENSKE Secretary/ Treasurer 949-922-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |