| NPI | 1528519659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCH SHAFFER Program Director 949-333-1209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |