| 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 |