| NPI | 1326901380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASER SELIM Clinical Director 909-440-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-12-06 |
| Last Update Date | 2026-07-21 |