| NPI | 1811604119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA TESTI Owner 949-485-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |