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 |