NPI | 1477193910 |
---|---|
Doing Business As | PEI OC CREW |
Entity Type | Organization |
Authorized Contact | CHI RAJALINGAM Chief Compliance Officer 714-834-5937 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-01-13 |
Last Update Date | 2020-01-15 |