| NPI | 1174091805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ADAMS Admin 661-255-6847 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2023-10-27 |