| NPI | 1134530116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA BARNES Lpt 626-826-7251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 31657) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA 31657) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |