| NPI | 1114225679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT SUTAY Executive Director 909-881-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |