| NPI | 1427104116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER GUTIERREZ Credentialing 909-289-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2025-03-31 |