| NPI | 1528337672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZEEZ BAIG Administrator 909-261-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA A71834) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |