| NPI | 1568899722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON STUNSON Registered Inte RN 661-689-4996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 75656) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |