| NPI | 1992385793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MIGUEL CEO 714-463-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2023-01-05 |