| NPI | 1023781903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEEVAKA PRASANNA WEERASINGHE President 951-288-7962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |