Organization
PARK FAMILY THERAPY & ASSOCIATES, A CALIFORNIA MFT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PARK (SUPERVISOR)
(949) 891-5336
Entity
Organization
Contact information
Practice address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(949) 891-5336
Mailing address
5319 UNIVERSITY DR STE 457, IRVINE, CA 92612-2965
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
11/13/2024
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