| NPI | 1548084999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI SWEET Tech 714-813-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-13 |