| 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 |