| NPI | 1215451935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER BABAI SIAHDOHONI CEO/Owner 949-769-1372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA PSY28098) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2024-02-20 |