| NPI | 1487773826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORAYA AVALOS Case Manager 661-259-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 225400000x) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |