NPI | 1679268668 |
---|---|
Entity Type | Organization |
Authorized Contact | GRISELDA ENGELAUF Owner/Provider 909-649-3863 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2023-04-06 |
Last Update Date | 2023-07-20 |