| NPI | 1699474130 |
|---|---|
| Doing Business As | MOMENTUM FOR HEALTH - EMPLOYMENT SERVICES DOR |
| Former Legal Business Name | MOMENTUM FOR MENTAL HEALTH - EMPLOYMENT SERVICES |
| Former Legal Business Name | ALLIANCE FOR COMMUNITY CARE - EMPLOYMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | DAVID K. MINETA CEO 166-921-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |