| NPI | 1437831948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ROMERO-GALLEGOS Licensed Clinical Social Worker 909-810-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |