NPI | 1003113101 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLA J HOLT Sole Proprietor 562-310-5738 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2011-02-25 |