| NPI | 1053589598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN A. MONTERROSO Doctor 661-327-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA G58893) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-08-05 |