| NPI | 1205158631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK BRUCE HARVEY Executive Director 951-674-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |