| 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 |