| NPI | 1679605489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE NOVEMBER Chief Operating Officer 949-330-1676 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2025-06-25 |