| NPI | 1508599705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANIYYAH MAYO CEO 909-660-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-05 |