| NPI | 1669788295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SEAN NEY CEO/Executive Vice President 909-763-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2026-01-21 |