| NPI | 1043919798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR ALMQUIST Lcsw 909-300-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |