| NPI | 1407181316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE J GERTH Therapist 949-922-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC 47189) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |