| NPI | 1003563404 |
|---|---|
| Doing Business As | CONNECTED LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | KRISTIE LEA HOUK CAIN CEO/President 949-922-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2023-02-18 |