| NPI | 1023343167 |
|---|---|
| Other Name | OMEGA / BETA PROGRAM |
| Entity Type | Organization |
| Authorized Contact | R KEITH SIMPSON Medical Director 951-294-5882 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 330009PN) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2012-08-02 |