NPI | 1538889829 |
---|---|
Doing Business As | ANTELOPE VALLEY MHC FSP |
Entity Type | Organization |
Authorized Contact | LISA H. WONG Acting Director 213-738-4601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-08-29 |
Last Update Date | 2022-08-29 |