| NPI | 1760995260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A PROCOPIO CEO 949-432-4622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: CA 300233DP) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CA 300233DP) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-10-16 |