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 |