| NPI | 1578954475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOL STOLAR-PETERSON Director 951-742-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA LCSW26051) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |