| NPI | 1174052435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OFFIR VILLAFANY Office Manager 909-256-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA C53030) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2019-11-21 |