| NPI | 1679710362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J TAMANAHA Staff Psychologist 909-425-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA 21662) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |