| NPI | 1912355116 |
|---|---|
| Doing Business As | KCMH COMMONWEALTH |
| Entity Type | Organization |
| Authorized Contact | WILLIAM P WALKER Director 661-868-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 163W00000X Registered Nurse | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |