| NPI | 1033730379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NIN Manager 949-635-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2022-02-28 |