| NPI | 1720352214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI M. POKRAJAC Owner 949-475-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY15458) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |