| NPI | 1619551124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA M HARRIS CFO 949-467-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |