| NPI | 1871012203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ALVARADO President 951-285-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA LMFT86368) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |