| NPI | 1588423560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE MCCOY CEO 951-491-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |