| NPI | 1275065088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH LISSAUR President 949-280-9647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA A88975) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |