| NPI | 1861259004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY M TRACY Founder 949-342-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |