NPI | 1285877308 |
---|---|
Former Legal Business Name | MOMENTUM FOR MENTAL HEALTH - FSP IMD |
Entity Type | Organization |
Authorized Contact | DAVID K. MINETA CEO 669-213-0755 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2009-04-20 |
Last Update Date | 2022-12-28 |