| NPI | 1588437487 | 
|---|---|
| Doing Business As | TSOC | 
| Entity Type | Organization | 
| Authorized Contact | DERICK CROUSE Director 657-522-6239  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Enumeration Date | 2023-11-01 | 
| Last Update Date | 2023-11-02 |