| NPI | 1336658566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY SPEAK Owner 714-813-2735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA 2084) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 2084) | |
| 261QS1000X Clinic/Center, Student Health (Licence: CA 2084) | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2018-06-16 |