| NPI | 1891271144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VILLARREAL COO 949-533-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2023-01-12 |