| NPI | 1710727334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENIKA WRIGHT CEO 909-454-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 101YM0800X Counselor Mental Health | |
| 174200000X Meals | |
| 251B00000X Case Management | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |