| 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 |