| NPI | 1295585636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE HEPNER Executive Director 951-652-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |