| NPI | 1750813820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MONDAY Director Of Operations 424-212-7923 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-10-7685) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |