| NPI | 1790527901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNASTASIASTASIA ROSE BEAL Community Outreach Coordinator 949-659-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |