| NPI | 1366304123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE JAMES SANDERS Program Director 909-496-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |