| NPI | 1295405009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE HAND Administrator 951-599-9903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |