| NPI | 1053451047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J. BOOKER Psychiatric RN Iii 951-684-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 350830) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |