| NPI | 1790659985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN HADDEN Director Of Finance And Operations 909-888-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |