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 |