| NPI | 1750809240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA CHAN CEO 909-539-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS24739) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LCS24739) |
| 103K00000X Behavior Analyst (Licence: CA LCS24739) | |
| 1041S0200X Social Worker, School (Licence: CA LCS24739) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |