| NPI | 1154202042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA L WEST Psychiatric Nurse Practitioner 949-637-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-11-19 |