| NPI | 1245703255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVANA CRISTINA CHARISON Owner 949-424-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-09-09 |