| NPI | 1912632951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY WILLIAMS Senior Manager 909-743-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-07-27 |