| NPI | 1811238199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN MICHELLE JONES-CHUDASAMA Psychotherapist/Owner 909-660-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA MFC 52193) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA MFC 52193) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |