| NPI | 1396547840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHEA S GUMBS Owner/CEO 661-200-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |