| NPI | 1093180515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNIE SALAMANCA Assistant Superintendent Business 909-985-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |