| NPI | 1265698443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK BRUCE HARVEY Executive Director 951-674-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA 330009PN) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |