| NPI | 1851573562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY RENEE MAHONEY Chief Executive Officer 949-903-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY16479) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2016-05-12 |