| NPI | 1740900729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RERHIME RERI UKU Pmhnp Bc 909-701-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-05-23 |