| NPI | 1043476609 |
|---|---|
| Other Name | QUEENSCARE FAMILY CLINICS - MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TERRY ALLEN BONECUTTER President And CEO 323-669-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |