| NPI | 1265857213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CASTO Director Of Compliance 949-612-2712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2024-02-29 |