NPI | 1114683919 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA PONS Secretary 714-605-9421 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-11-16 |
Last Update Date | 2021-11-16 |