| NPI | 1346667268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERIM BANGOU Pharmacist Incharge 909-597-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: CA 44274) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |