| NPI | 1962716944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A GRAHAM FLORES Lmft 661-406-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 47629) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |