| NPI | 1013065457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA MARIE WILLIAMS Administrator 951-698-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-06-07 |