| NPI | 1114744356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY S. CRALL President 951-219-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-26 |