| NPI | 1710339320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICELA RUBI CHAPMAN Owner 951-662-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TX 202406) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |