| NPI | 1700328929 |
|---|---|
| Doing Business As | PERRIS FAMILY ROOM CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANTHONY WICKI Bh Mft/Supervisor 951-443-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |