NPI | 1588424519 |
---|---|
Entity Type | Organization |
Authorized Contact | CORY BROSCH Chief Operating Officer 949-257-9128 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
251S00000X | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-03-19 |