| NPI | 1538610829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RAMIREZ Medical Billing Specialist 909-434-9253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 036-107338) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: TX N5836) |
| 273R00000X Psychiatric Unit (Licence: CA C52842) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |