NPI | 1164193447 |
---|---|
Entity Type | Organization |
Authorized Contact | STAN RUSHING Partner 626-794-8532 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-09-25 |
Last Update Date | 2021-09-25 |