| NPI | 1518225002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHONA BADAR GREEN President 949-586-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA A53508) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2024-02-09 |