NPI | 1386765345 |
---|---|
Doing Business As | LDS FAMILY SERVICES CA COLTON |
Entity Type | Organization |
Authorized Contact | GLENN FARR Agency Director 909-824-0480 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2008-06-03 |