| NPI | 1912377102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID TABRIZY President 949-837-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2016-06-01 |