| NPI | 1093509960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGOCHI AZUBUIKE Nurse Practitioner 909-643-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2026-03-23 |