| NPI | 1962804005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE NICHOLE CASTILLO Parent Partner 951-358-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |