| NPI | 1306055603 |
|---|---|
| Doing Business As | SUPPORTIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | ERICA OCHOA Chief Compliance Officer 909-388-0879 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA zzz74743z) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-06-15 |