| NPI | 1063976249 |
|---|---|
| Doing Business As | A MISSION FOR MICHAEL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY FARBMAN Office Manager 949-424-9921 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2022-07-01 |