| NPI | 1871855916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA NGUYEN Executive Director 669-262-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-10-04 |