| 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 |