| NPI | 1437322237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANNE NICKERSON Owner/President 949-222-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 20446) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-05-18 |