| NPI | 1083902829 |
|---|---|
| Doing Business As | BETA PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LOIS ANN EASTERLING Contract Administrator 951-674-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |