| NPI | 1083146237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA ROBIN AYLOR President 800-460-9219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY 16291) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |