| NPI | 1750081840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA LEYVA Owner 909-238-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |