| NPI | 1407991268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GRAHAM BUCHANAN Mental Health Clinician Iii D 909-825-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 7007) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |