| NPI | 1831972140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE NOVEMBER COO 949-855-1556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |