| NPI | 1912478173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESIA HARPER Chairman 949-463-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |