NPI | 1609367515 |
---|---|
Entity Type | Organization |
Authorized Contact | RENDA DIONNE MADRIGAL President 909-262-8325 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA PSY14246) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA PSY14246) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CA PSY14246) | |
Enumeration Date | 2018-05-25 |
Last Update Date | 2018-10-25 |