| NPI | 1104256601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEANJAY SHARMA President / CEO 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 960001031) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2019-05-17 |