| NPI | 1578268983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WAYNE ABINANTE Owner 714-916-5210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |