| NPI | 1588041040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN SHAVER Owner/Founder 1310-453-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA 7275) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |