| NPI | 1174010391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LITZINGER Owner 714-862-9981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA A66706) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA A66706) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |