| NPI | 1568347490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON STEWART CEO 909-573-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |