| NPI | 1316318967 |
|---|---|
| Doing Business As | NEW LIFE SU - BANNING PROBATION |
| Entity Type | Organization |
| Authorized Contact | JERRY WENGERD Director Of Mental Health 951-358-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |