| NPI | 1558431940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA LYN KOPIEC Clinical Social Worker 949-707-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CA LCS23063) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |