| NPI | 1407633597 |
|---|---|
| Other Name | THE WAVE OF COLUMBIA |
| Entity Type | Organization |
| Authorized Contact | GIULIANNA BOARI CFO 714-713-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-10-08 |