| NPI | 1639565856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAOYING CUI Owner 951-398-7532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA A85982) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |