| NPI | 1417483991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL DEV CEO 661-327-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA a63639) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |