| NPI | 1881813350 |
|---|---|
| Doing Business As | MOMENTUM FOR HEALTH - LA SELVA RESIDENTIAL |
| Former Legal Business Name | MOMENTUM FOR MENTAL HEALTH - LA SELVA RESIDENTIAL |
| Former Legal Business Name | ALLIANCE FOR COMMUNITY CARE - LA SELVA RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | DAVID K. MINETA CEO 669-213-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-02-18 |