NPI | 1912567983 |
---|---|
Entity Type | Organization |
Authorized Contact | MAUREEN SPARKS Director, Managed Care Contracting 949-764-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2019-06-20 |
Last Update Date | 2019-06-20 |