| NPI | 1508268574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORFIRIO LOPEZ Psychiatric Social Worker 1 661-364-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |