NPI | 1528543212 |
---|---|
Doing Business As | TUSTIN FAMILY CAMPUS |
Entity Type | Organization |
Authorized Contact | RUSTY E. ALEXANDER Managing Business Director 775-392-2639 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2018-09-27 |
Last Update Date | 2019-02-01 |