| NPI | 1649687351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMILYN HENDERSON President 949-335-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20141420640) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |