| NPI | 1215444955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA SODARO Administrator 661-396-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |