NPI | 1962123257 |
---|---|
Doing Business As | CROSSBROOK CARE |
Entity Type | Organization |
Authorized Contact | KIM DO Credentialing And Billing Manager 909-262-8372 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2022-09-06 |
Last Update Date | 2023-03-23 |