| NPI | 1194488866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PEREZ Owner 951-212-3184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-08-08 |