| NPI | 1063072684 |
|---|---|
| Doing Business As | DISCOVERY MOOD & ANXIETY PROGRAM, FAIRFAX OP |
| Entity Type | Organization |
| Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-05-09 |