| NPI | 1962699751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN DEAVON BATISTE Executive Director 909-823-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 360016AN) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2009-03-03 |