| NPI | 1043940505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIONG YEE TAN Director 949-229-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-10-29 |