| NPI | 1841566981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA PAYNE Director 909-962-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |