NPI | 1033710892 |
---|---|
Entity Type | Organization |
Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2020-11-06 |
Last Update Date | 2023-05-09 |