| NPI | 1982975009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ELLIS President 909-576-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 5980-C) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2018-06-20 |