NPI | 1437664539 |
---|---|
Entity Type | Organization |
Authorized Contact | DEKE MARCUS President 949-354-4147 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |