| NPI | 1912876376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BECKER Behavioral Health Counselor/Admin 949-954-7202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |