| NPI | 1427183714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTIN DAWN ALFRED Mental Health Specialist 909-421-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |