| NPI | 1972236198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ALLEN Registered Nurse 714-410-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |