| NPI | 1538431168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD RUPP President 626-449-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA MFC25812) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |