NPI | 1821209743 |
---|---|
Doing Business As | NUEVA VIDA |
Entity Type | Organization |
Authorized Contact | MICHAEL J. DAY Information Technology Manager 909-388-0570 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA zzz74743z) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2009-09-24 |