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 | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2019-02-26 |
Last Update Date | 2019-04-06 |