| NPI | 1720107220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEYAMMA MATHEW President 909-626-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA A41380) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |