| NPI | 1306092762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA UKIRU Director 909-863-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA LCS1467) |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA LCS1467) |
| 251K00000X Public Health or Welfare (Licence: CA LCS1467) | |
| 251X00000X (Licence: CA LCS1467) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |