| 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 |