| NPI | 1295313971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON KYLE GURESKY Chief Of Clinical Operations 661-410-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-03-15 |