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