| NPI | 1578774733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ALAN STENBERG Director 626-716-2489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA MFC 33201) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2012-03-13 |