| NPI | 1043416159 |
|---|---|
| Doing Business As | FFS PSYCHOLOGIST |
| Entity Type | Organization |
| Authorized Contact | CASONYA THOMAS Director 909-388-0801 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA zzz74743z) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2014-11-12 |