| NPI | 1528772357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SIEGRIST COO 626-993-3003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |