| NPI | 1841648615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA L TROUTT President 714-423-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA MFC30977) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |