| NPI | 1821922477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVANNAH BAKER Credentialer 949-201-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2026-06-10 |
| Last Update Date | 2026-08-11 |