NPI | 1932930120 |
---|---|
Other Name | ILLUMINATING PSYCHOLOGICAL SERVICES |
Entity Type | Organization |
Authorized Contact | INA CREEKBAUM CEO 909-856-5904 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2024-08-09 |
Last Update Date | 2024-08-09 |