| NPI | 1851763098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARTINEZ Director 714-624-8018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 72445) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |