| NPI | 1629169222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. MICHAEL P. RILLERA Ccn Ii 714-834-6900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA RN 537033) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-04-23 |