| NPI | 1265210249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEYENNE CHEN-PILLER Managing Member 949-302-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-03-21 |