| NPI | 1326539040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH THOMPSON Executive Director 909-631-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 197806776) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |