| NPI | 1023149820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN STILLMAN Administrator 661-636-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 157200413) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-06-13 |