| NPI | 1033645239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOZANO Behavior Health Specialist Ii 951-715-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |