NPI | 1457756462 |
---|---|
Entity Type | Organization |
Authorized Contact | JUANITA CONRIQUEZ RODRIGUEZ Therapist 909-731-0347 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCSW61472) |
Enumeration Date | 2014-11-03 |
Last Update Date | 2014-11-03 |