| NPI | 1265588909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYAM P KUNAM CEO 909-335-3026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-09-25 |