NPI | 1275176265 |
---|---|
Former Legal Business Name | ALLIANCE FOR COMMUNITY CARE |
Former Legal Business Name | MOMENTUM FOR MENTAL HEALTH - IFSP-ADULT |
Doing Business As | MOMENTUM FOR HEALTH - IFSP-AOA |
Entity Type | Organization |
Authorized Contact | DAVID K. MINETA CEO 669-213-0755 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2019-10-22 |
Last Update Date | 2023-07-05 |