| NPI | 1346919081 |
|---|---|
| Former Legal Business Name | MICHELLE BYRD, LCSW |
| Entity Type | Organization |
| Authorized Contact | MICHELLE BYRD Owner 951-973-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |