| NPI | 1992326862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA TANZINI CEO 909-240-5096 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2020-05-02 |