| NPI | 1174610497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL C MELLONI Project Director 714-479-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 30010AN) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |