| NPI | 1265728901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORYCE M AGUIRRE Administrative Director 951-243-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |