NPI | 1619210291 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK W. GAINES President 818-981-4030 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA c14269) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2013-04-01 |