| NPI | 1124490446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYADA MARZOUK Clinician 951-333-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA MFC # 53104) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA MFC # 53104) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |