| NPI | 1043507916 |
|---|---|
| Doing Business As | BETA |
| Entity Type | Organization |
| Authorized Contact | LOIS ANN EASTERLING Administrator 951-674-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |