NPI | 1023409372 |
---|---|
Entity Type | Organization |
Authorized Contact | KALEIGH PETTIS Clinical Therapist 951-522-0730 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA mg 60493139) |
Enumeration Date | 2015-02-09 |
Last Update Date | 2015-02-09 |