NPI | 1275886111 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK S MEZA Licensed Psych Tech 424-249-3873 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 34614) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2012-10-16 |