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 Clinic/Center, Mental Health (Including Community Mental Health Center) |
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 |