| NPI | 1215221866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS JAMITO PRIANES Qba 818-641-9856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 01524843) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |