| NPI | 1063778595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM EJINDU Executive Director 909-622-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |