NPI | 1346304920 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE MAJORS Director Of Operation 909-623-6131 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2006-12-20 |
Last Update Date | 2024-09-11 |