| NPI | 1689450694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN NYIRADY President/Director 909-557-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |