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 |