| NPI | 1215208921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA CORDEIRO Clinical Director 909-287-3557 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 1-10-6857) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |