| NPI | 1982915898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ALEKNAVICIUS Partner 949-939-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MN LP5150) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN LP5150) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |