| NPI | 1679176077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DOSS Director 661-204-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2024-03-01 |