| NPI | 1457818437 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | SANIYYAH SHALEECE MAYO CEO/Founder 909-767-3593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-04-06 |