| NPI | 1508062456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA B PATEL Owner 909-364-1396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA A38354) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2009-06-16 |