| NPI | 1992995153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M COURTIS Director 661-335-0363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |