| NPI | 1780379651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MRS. MICHELE EVANS Owner 909-307-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |