| NPI | 1710216270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEWALE O FAJEWONYOMI Executive Director 909-434-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-12-12 |
| Last Update Date | 2009-12-12 |