| NPI | 1881073856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK DANIEL GUTIERREZ Executive Director 909-709-6579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-05-24 |
| Last Update Date | 2015-05-24 |