| NPI | 1649747213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SIEGRIST CFO 626-993-3003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2020-02-24 |