NPI | 1366017535 |
---|---|
Entity Type | Organization |
Authorized Contact | DR. MONICA ELLIS-BLIED Director 909-741-2849 |
Organization Subpart ? | No |
Primary Taxonomy | 103TH0004X Psychologist, Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2021-05-20 |
Last Update Date | 2021-05-20 |