| NPI | 1588406813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FARBMAN Director Of Billing 949-301-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2025-06-25 |