| NPI | 1982495925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE BAUTISTA Director 909-202-8361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |