| NPI | 1699149609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAJEZATHA ZACCAI PAYNE CEO 661-270-6340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 2086094) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2016-03-15 |