| NPI | 1093456618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELI BAUTISTA HURST Owner 909-743-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |