| NPI | 1952490120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GORGONIA PERCY Sr. Mhc RN 661-723-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA RN375235) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-08-08 |