| NPI | 1013516350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE JOHNS CEO 951-271-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2024-04-04 |