NPI | 1700453263 |
---|---|
Other Name | SALT |
Entity Type | Organization |
Authorized Contact | LYSSA KERRIGAN Owner 949-682-5521 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-06-04 |
Last Update Date | 2021-06-04 |