| NPI | 1760264246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA ANNETTE RAMSEY Executive Director 909-519-3927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 251B00000X Case Management | |
| 101Y00000X Counselor | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-11-21 |