| NPI | 1639789969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA ANDERSON Owner 909-631-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2020-08-02 |