| NPI | 1881081362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L ARKADIE Chief Operating Officer 909-962-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |