| NPI | 1679782759 |
|---|---|
| Doing Business As | CENTRAL FAST |
| Entity Type | Organization |
| Authorized Contact | ERICA OCHOA Chief Compliance Officer 909-388-0882 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA zzz74743z) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-05-09 |