| NPI | 1295372621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEEBAN CALEB NAM President 714-794-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 273R00000X Psychiatric Unit | |
| 283Q00000X Psychiatric Hospital | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2023-01-17 |