| NPI | 1912661174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST ASHU TAKANG Director 714-863-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 273R00000X Psychiatric Unit | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |