| NPI | 1528573615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAQIALDEEN ZAMIL CEO 714-712-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 20560) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2022-02-06 |