| NPI | 1700923968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH GRANGER Clinical Therapist Ii 909-421-9384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA MMFC 37879) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |