| NPI | 1033979646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY SCHWARTZ SVP, Behavioral Health 714-908-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |