NPI | 1740852763 |
---|---|
Entity Type | Organization |
Authorized Contact | ARLYN MENDOZA President 909-631-5768 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-07-12 |
Last Update Date | 2021-07-12 |