| NPI | 1427365659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM L. WIGAL Director 949-824-1812 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY14209) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-16 |