| NPI | 1689406092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WILLIAMS STABLEIN Psychiatrist 949-889-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |