| NPI | 1871097303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LOUISE ATENCIO-MACLEAN Psychologist 949-444-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA Psy28555) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |