| NPI | 1649085739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONISE WARREN Manager 951-454-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist, Counseling | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |