| NPI | 1699492751 |
|---|---|
| Doing Business As | STELLA MARIS GROWTH CENTER |
| Entity Type | Organization |
| Authorized Contact | FRANCES OHAERI Clinical Director 909-649-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-12-08 |