| NPI | 1114293396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE HACHE Executive Director 951-906-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2012-04-01 |