| NPI | 1093282220 |
|---|---|
| Other Name | CYS RITE OF PASSAGE TUSTIN SUITE C |
| Entity Type | Organization |
| Authorized Contact | RUSTY E. ALEXANDER Managing Business Manager 775-392-2639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2019-02-22 |