| NPI | 1588932412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER KRISTIN GRIMALDI Owner 949-246-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-11-8836) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |