| NPI | 1457126427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEAIRA COFFIN Director 949-468-0792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-10-01 |