| NPI | 1336809466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVID MATHIAS Executive Director 909-233-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2022-01-04 |