| NPI | 1265639660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER JACKSON MELTON Counselor Iii 951-601-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA MFC17474) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |