| NPI | 1831475342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE WEATHINGTON Clinical Directo 909-475-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 21951) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |