| NPI | 1124793799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BOONE CEO 951-858-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2021-08-14 |