| NPI | 1538811047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH FOLLETT Manager 714-356-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| 251J00000X Nursing Care | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-09-10 |