NPI | 1417701434 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA SEATON DINO Owner/ Operator 949-310-9627 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-04-16 |
Last Update Date | 2024-04-16 |