| NPI | 1083341143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ARNOLD CEO 909-559-4062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |