NPI | 1164812210 |
---|---|
Entity Type | Organization |
Authorized Contact | GRANT CLARKE Administrator 714-361-6760 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 40415) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2015-01-28 |