| 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 |