| NPI | 1568852473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. HEYDT Chief Executive Officer 714-456-2986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |