| NPI | 1265228472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEENA HARRISON Nurse Practitioner 951-965-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |