NPI | 1770708521 |
---|---|
Doing Business As | MOMENTUM FOR HEALTH - LITTERAL HOUSE |
Former Legal Business Name | MOMENTUM FOR MENTAL HEALTH - LITTERAL HOUSE |
Former Legal Business Name | ALLIANCE FOR COMMUNITY CARE - LITTERAL HOUSE |
Entity Type | Organization |
Authorized Contact | DAVID K. MINETA CEO 669-213-0755 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2007-04-16 |
Last Update Date | 2023-02-18 |