| NPI | 1730869454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY FARBMAN Director Of Billing 949-301-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2025-07-11 |