NPI | 1790526184 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE LEANN BRAVO CEO 909-242-8867 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-06-01 |
Last Update Date | 2024-06-01 |