| NPI | 1487004404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YSIDORA S ACOSTA Office Services Technician 661-868-6932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |