| NPI | 1326999566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKEA BLAIR Program Director 909-300-2622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-02-04 |