| NPI | 1629803804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN NERI Director 909-699-3614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |