| NPI | 1851949119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH ELIZABETH MEBANE Primary Provider 949-677-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |