| NPI | 1255766101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL RITTER Mental Health Services Supervisor 951-413-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 73649) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |