| NPI | 1912752148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIESHA DAVIS-MASSEY Chief Executive Offcer 661-323-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2025-02-25 |