| NPI | 1033990130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE PERSICHINO Owner 909-435-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |