| NPI | 1760932354 |
|---|---|
| Other Name | MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARLISE CORDELIA HUCAKABEY Lvn 951-600-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA VN209162) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |