| NPI | 1740677111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PARK CEO 949-864-6784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A106354) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |