| NPI | 1174609010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY RYAN Mentah Health Worker Ii 949-643-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |