| NPI | 1548927932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY D ALEXANDER Registered Nurse 909-660-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2021-11-20 |