| NPI | 1467778050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA UKIRU Director 909-383-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 251B00000X Case Management | |
| 305S00000X Point of Service | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |