NPI | 1417425604 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON BAILEY General Counsel 949-298-9228 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center Adult Mental Health | |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2018-11-06 |
Last Update Date | 2025-01-15 |