NPI | 1104570282 |
---|---|
Entity Type | Organization |
Authorized Contact | KHADIJA HAMUCHE HAMISI CEO 909-429-3224 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-02-08 |
Last Update Date | 2024-04-23 |