| NPI | 1205023751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TABARREJO Registered Nurse 951-570-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA 677031) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |