| NPI | 1689210775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELVETH MELISSA LOVE Director 909-269-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2023-12-25 |