| NPI | 1992024079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ORLICZKY Director 949-791-9275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-03-1457) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2014-04-28 |