NPI | 1336967454 |
---|---|
Entity Type | Organization |
Authorized Contact | JONAH BAUTISTA Office Manager 949-306-2054 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-09-27 |
Last Update Date | 2024-09-27 |