| NPI | 1376744169 |
|---|---|
| Doing Business As | KCMH CHILDREN'S NILES STREET |
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALKER Director 661-868-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TS0200X Psychologist, School | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 106H00000X Marriage & Family Therapist | |
| 163W00000X Registered Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2015-04-02 |