| NPI | 1457485062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SUE PAGE Executive Director 661-949-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2021-04-07 |