| NPI | 1023862687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KATHLEEN SABET Chief Compliance Officer 714-568-5616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-05-09 |