| NPI | 1679058358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY COATS Human Resources Manager 661-322-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2021-05-11 |