| NPI | 1457568693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W MAGID Mft 661-296-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA M11862) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |