| NPI | 1356217095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH A MATICS Medical Biller 714-292-2666 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |