| NPI | 1922276146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKCO SYRON WRIGHT Counselor/1 661-325-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA RW0934) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |