| NPI | 1386419521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA HARDY-SURINA Lic Marriage & Family Therapist 909-255-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-28 |