| NPI | 1417795782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE BURGOS Owner 909-451-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |