| NPI | 1407310121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BENESCH Psychiatrist 714-876-4172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2019-01-27 |