| NPI | 1629866322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY COLLINS CEO 661-600-5245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |