| NPI | 1356474878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RUSSELL TORNQUIST Chief Program Officer 949-400-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2025-06-30 |