NPI | 1922865468 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARNELL SPENCER Credentialing Manager 661-239-6923 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-03-01 |
Last Update Date | 2025-04-18 |