| NPI | 1013510064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIANNE REDMAN Licensed Clinical Social Worker 909-206-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |