| NPI | 1508582818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY VENARD Executive Director 951-290-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-03-04 |