| NPI | 1902346745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRILL KENT SARGENT RN 661-758-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 543665) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |