| NPI | 1578279634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERA WILLIAMS President 909-568-6479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |