NPI | 1144646829 |
---|---|
Former Legal Business Name | BEHAVIORAL DYNAMIC INTERVENTIONS |
Entity Type | Organization |
Authorized Contact | ANA LAURA MAGANA Clinical Director 661-369-1187 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 39354) |
Enumeration Date | 2014-03-05 |
Last Update Date | 2015-11-02 |