| NPI | 1144036245 |
|---|---|
| Doing Business As | IMMANUEL HOUSE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH REID Executive Director 951-530-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |