| NPI | 1952875528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAYNE LEIGH BELHUMER CEO 949-855-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |