| NPI | 1891087185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEITH MOSELEY President 661-236-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA PSY12385) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |