NPI | 1174891113 |
---|---|
Doing Business As | MOMENTUM FOR HEALTH - DOWNTOWN OUTPATIENT |
Former Legal Business Name | MOMENTUM FOR MENTAL HEALTH - DOWNTOWN |
Former Legal Business Name | ALLIANCE FOR COMMUNITY CARE |
Entity Type | Organization |
Authorized Contact | DAVID K. MINETA CEO 669-213-0755 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2011-12-06 |
Last Update Date | 2023-02-22 |