| NPI | 1205209749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAN QURESHI VP Of Operations 951-698-7612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |