| NPI | 1174372403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R MORROW Clinical Manager 951-565-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-24 |