| NPI | 1114723616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN VANHOOSER Director Of Compliance 949-750-2014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |