NPI | 1275824369 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORIA ARZATE Credentialing 909-289-4075 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103T00000X Psychologist |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2011-04-25 |
Last Update Date | 2018-11-19 |