| NPI | 1205678562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIERRA BROOKE VOSS-SANCHEZ Director 909-864-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-06-08 |