| NPI | 1356719777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F BISHARA Physcian 951-313-7403 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |