| NPI | 1932993318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN CARD CEO 661-788-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-07-28 |