| NPI | 1932870896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MCLAURIN President 661-272-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |