| NPI | 1205604550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON MICHAEL STEWART CEO 909-573-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 133V00000X Dietitian, Registered | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 103K00000X Behavior Analyst | |
| 163W00000X Registered Nurse | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2025-09-26 |