| NPI | 1437493749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE STAWINSKI Assistant Clinical Director 661-254-7086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 11211851) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |