NPI | 1124789268 |
---|---|
Entity Type | Organization |
Authorized Contact | DIVINITY SARDIN Manager/Owner 562-965-6782 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-12-30 |
Last Update Date | 2021-12-30 |