NPI | 1083069850 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN NOMSA CHALI Clinical Director 909-936-3888 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCSW29187) |
Enumeration Date | 2016-04-29 |
Last Update Date | 2019-10-18 |