| NPI | 1659407096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ANN VERDUGO Clinical Therapist Ii 909-421-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |