| NPI | 1235822347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA BOZICK Owner 949-243-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-04 |