NPI | 1588091169 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORIA ARZATE Credentialing 909-289-4075 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 103TC0700X Psychologist Clinical |
1041C0700X Social Worker Clinical | |
106H00000X Marriage & Family Therapist | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-09-27 |
Last Update Date | 2018-11-19 |