| NPI | 1508343583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FARBMAN Director Of Billing 949-301-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2025-06-25 |