NPI | 1770845497 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOFFREY BESTMAN IBEABUCHI CEO 909-567-2808 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS 18357) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2012-06-08 |
Last Update Date | 2019-11-27 |