| NPI | 1174971493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICH PORTIGAL Vice President 951-813-2597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 330150AP) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2023-12-20 |