NPI | 1841022696 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISSY BYNUM Therapist 661-525-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-09-13 |