| NPI | 1700053329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS GRASTY Director 661-868-1053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CA MSS00029F) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |