| NPI | 1215758321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ROSENBAUM Director 949-620-6906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |