| NPI | 1104603315 |
|---|---|
| Former Legal Business Name | MIND CABANA COUNSELING & CONSULTING INC. |
| Former Legal Business Name | MIND CABANA COUNSELING AND CONSULTING INC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER MORRIS Executive Director 909-534-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |