| NPI | 1750081493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WOODFORD SMITH Chief Administrative Officer 949-892-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |