NPI | 1558710251 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH CASTO Director Of Compliance 949-612-2712 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 300293AP) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2024-02-29 |