| NPI | 1528604501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA CRUZ Manageing P Artner 909-733-6490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |