| NPI | 1124810122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVION DE'JUAN CHAMBERLAIN Chief Executive Officer 909-295-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2026-07-10 |