| NPI | 1649636903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STEVEN CONBOY President 714-625-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY13159) |
| Enumeration Date | 2016-01-01 |
| Last Update Date | 2016-01-01 |