| NPI | 1841951795 |
|---|---|
| Doing Business As | TEEN THERAPY OC |
| Entity Type | Organization |
| Authorized Contact | LAUREN GOODMAN Executive Director 949-394-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |