| NPI | 1194481556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL MARIE BOOTHE Executive Director 661-402-1545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2024-05-03 |