| NPI | 1003407388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS OBENG Dnp 951-707-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2023-01-10 |