| NPI | 1295377570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY L. DAY Executive Director 909-643-9578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |