| NPI | 1881311876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY G MADRIGAL Director Clinical Psychologist 714-504-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |