NPI | 1013540707 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE MAJORS Chief Compliance Officer 909-623-6131 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-02-20 |
Last Update Date | 2021-05-10 |