NPI | 1568857274 |
---|---|
Entity Type | Organization |
Authorized Contact | LEITA JACQUELINE HARRIS President 909-241-8829 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G064281) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2018-09-17 |