| NPI | 1023865326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN RODRIGUEZ Executive Director 951-934-8183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-09-20 |