| NPI | 1609758887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER MEZZANATTO Owner 951-543-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |