| 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 |