| NPI | 1477958338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROBERT SPICER President 714-356-7061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC50955) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |