| NPI | 1336493071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYAM P KUNAM CEO/Owner 909-747-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2020-08-24 |