| NPI | 1164837670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN BENNETT Director 661-974-5285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |