| NPI | 1043147549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL RENEE MULLINGS Director Of Compliance 951-691-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2026-05-07 |
| Last Update Date | 2026-08-13 |