| NPI | 1003398421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA JO MAHONEY VP Of Rcm And Payor Relations 951-560-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251S00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2024-06-10 |