NPI | 1427393610 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN A. HEYDT Chief Executive Officer 714-456-2986 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 060000148) |
Enumeration Date | 2012-11-29 |
Last Update Date | 2012-11-29 |