| NPI | 1063950608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMILYN HENDERSON Co Founder 949-335-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20171013624) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2022-07-21 |