| NPI | 1013218643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN F. SAWA CEO/Executive Vice President 909-388-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |