| NPI | 1205720778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE FINO Therapist 909-319-6053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-06-07 |