| NPI | 1528105582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVERNIE V. MITCHELL Psychiatric Social Worker 909-424-4654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCS18030) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-07-01 |