| NPI | 1558965244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CRAWFORD Clinical Psychologist 909-935-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2021-04-01 |