NPI:
1932679859
Provider Name:
PREPARE TO CHANGE CHILD AND FAMILY COUNSELING
Other Name: PREPARE TO CHANGE, A PSYCHOLOGY CORPORATION
Classification:
Clinic/Center - 261QM0801X
Entity Type:
Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
222 W MAIN ST STE 101
TUSTIN, CA
ZIP 92780
Phone:
(562) 773-3044
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PREPARE TO CHANGE CHILD AND FAMILY COUNSELING is a mental health (including community mental health center) clinic center in Tustin, CA. PREPARE TO CHANGE CHILD AND FAMILY COUNSELING NPI is 1932679859. The provider is registered as an organization entity type.
The provider Other Name Is Prepare To Change, A Psychology Corporation.
The provider's business location address is:
222 W MAIN ST STE 101
TUSTIN, CA
ZIP 92780-711
Phone: (562) 773-3044
The provider's authorized official is Kaneeza Lafir .
The authorized official title is Doctor/director and has the following contact phone number (562) 773-3044.
The enumeration date for this NPI number is 12/4/2018 and was last updated on 12/4/2018.