| NPI | 1689445033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE ROSA Owner 661-417-6927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2025-12-16 |