| NPI | 1134295702 |
|---|---|
| Doing Business As | INDIO SUBSTANCE USE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JERRY A WENGERD Director, De PT. Of Mental Health 951-358-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2014-12-10 |