| NPI | 1700371572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KENNETH MATHIAS Chief Executive Officer 909-948-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: CA 366423827) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-06-02 |