| NPI | 1760110530 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | PHILLIP PARRA President 951-318-7798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-09-25 |