| NPI | 1124578380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANG CHOE Owner 714-595-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA C3918352) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |