| NPI | 1659670032 |
|---|---|
| Former Legal Business Name | MOMENTUM FOR MENTAL HEALTH - CJ IOP-120 |
| Former Legal Business Name | ALLIANCE FOR COMMUNITY CARE - FSP IMD / BAP |
| Former Legal Business Name | MOMENTUM FOR MENTAL HEALTH - FSP IMD / BAP |
| Doing Business As | MOMENTUM FOR HEALTH - CJ IOP-120 |
| Entity Type | Organization |
| Authorized Contact | DAVID K. MINETA CEO 669-213-0755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2024-03-25 |