| NPI | 1962075564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE HAYES Clinical Director 909-945-2736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-08-05 |