| NPI | 1649088998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL KLEM President 949-436-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |