| NPI | 1578278198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN LEHMAN CEO 909-571-6186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0800X Clinic/Center, Recovery Care | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-18 |