| NPI | 1962646281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WATERMAN Director 661-868-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |