NPI | 1063796308 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY EDWARD MIRANDA Child And Family Specialist 714-269-5353 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2011-10-05 |
Last Update Date | 2011-10-05 |