| NPI | 1881060515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE CHEN Owner 949-302-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 1084717) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |