| NPI | 1255579215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN S SHIRAZI Chief Executive Officer 951-683-4056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 336411358) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |