| NPI | 1346102829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASANK NAKKA Owner 951-282-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |