| NPI | 1326480542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CHON SCHLEICHER Senior Program Supervisor 714-425-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |