NPI | 1922518547 |
---|---|
Entity Type | Organization |
Authorized Contact | JAVIER MARTIN PANAMENO CAMPOS Chief Executive Officer 909-782-8382 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 26127) |
Enumeration Date | 2017-10-10 |
Last Update Date | 2017-10-10 |