NPI | 1003663410 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSE COOK Program Director 951-675-8198 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-05-02 |
Last Update Date | 2024-05-28 |