| NPI | 1003110982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALBERTO CRUZ President/Executive Director 951-500-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2012-02-27 |