| NPI | 1457210395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D WILLIAMS Executive Director 909-708-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2026-01-16 |
| Last Update Date | 2026-01-16 |