| NPI | 1730430067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOBATO CEO 866-926-6552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2018-04-05 |