| NPI | 1316550668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LAMB Chief Executive Officer 909-421-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |