| NPI | 1205349479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOJUANA DOLORES HAIRSTON CEO Clinical Therapist 949-929-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MFC41015) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |