| NPI | 1679911085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANNE MASON President 714-655-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA PSY20438) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |