| NPI | 1528548401 |
|---|---|
| Doing Business As | SOULWELL FAMILY GUIDANCE GROUP |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L PELAYO Owner, Director 909-929-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: CA PSY19697) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2024-05-03 |