| NPI | 1679343701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA M CZWORNIAK Co Founder 909-525-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-26 |