| NPI | 1871906461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSCELYN WASHINGTON CEO/Owner 909-971-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 8111) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |