| NPI | 1356485544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM O EJINDU Executive Director 909-622-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 190234AN) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |