| NPI | 1679003834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAI MATHEW THANKACHEN Owner 714-782-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |