| NPI | 1104690379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABA HAQ President 949-463-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 208000000X Pediatrics | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-10-10 |