| NPI | 1215800669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON CARLO ESTELLA CEO 661-231-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-11-05 |