| NPI | 1215154992 |
|---|---|
| Former Legal Business Name | ALLIANCE FOR COMMUNITY CARE - CROSSROADS, BRIDGE, NIKKI'S PLACE |
| Former Legal Business Name | MOMENTUM FOR MENTAL HEALTH - CROSSROADS ART, ART OP |
| Doing Business As | MOMENTUM FOR HEALTH - CROSSROADS ART, ART OP |
| Former Legal Business Name | MOMENTUM FOR MENTAL HEALTH/CROSSROADS/BRIDGE/NIKKI'S PLACE |
| Entity Type | Organization |
| Authorized Contact | DAVID K. MINETA CEO 669-213-0755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-02-18 |