| 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 |