NPI | 1548992068 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN THOMAS JUAREZ President 661-282-7339 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2022-06-24 |
Last Update Date | 2022-06-24 |