| NPI | 1952047128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BEETS Director 949-933-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |