| NPI | 1932795580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLETTA FRANCISCUS CFO 714-458-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |