| NPI | 1881363968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HETHER L LOMBARDO-BENJAMIN CPO Youth Development 949-250-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2023-10-06 |