| NPI | 1033605589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON STROUP Owner 661-341-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO MFT.0001382) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |