| NPI | 1548788144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY GRUPE CEO 949-391-3849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-09-03 |
| Last Update Date | 2017-09-03 |