| NPI | 1982096566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA LEMUS YBANEZ Owner 909-831-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS-29744) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |