| NPI | 1770793259 |
|---|---|
| Doing Business As | WESTSIDE INTEGRATED HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CASONYA THOMAS Director 909-382-3133 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA zzz74743z) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-09-01 |